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LIGHTHOUSE DIAGNOSTIC IMAGING LLC NPI 1003902677


NPI Information

NPI: 1003902677
Provider Name: LIGHTHOUSE DIAGNOSTIC IMAGING LLC
Classification: Radiologic Technologist - 2471B0102X
Entity Type: Organization

Specialization: Bone Densitometry

Address:
8683 E LINCOLN AVENUE
SUITE 100
LONE TREE, CO
ZIP 80124
Phone: (303) 706-1555
Get Directions

LIGHTHOUSE DIAGNOSTIC IMAGING LLC is a bone densitometry radiologic technologist in Lone Tree, CO. The provider is a radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care. LIGHTHOUSE DIAGNOSTIC IMAGING LLC NPI is 1003902677. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8683 E LINCOLN AVENUE
SUITE 100
LONE TREE, CO
ZIP 80124
Phone: (303) 706-1555
Fax: (303) 706-1199

The provider's authorized official is Sheila B Racz .
The authorized official title is Office Manager and has the following contact phone number (303) 790-6515.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471B0102XRadiologic TechnologistBone Densitometry95802COLORADOYes
22471C3401XRadiologic TechnologistComputed Tomography95802COLORADOX
32471C3402XRadiologic TechnologistRadiography95802COLORADOX
42471M1202XRadiologic TechnologistMagnetic Resonance Imaging95802COLORADOX
52471M2300XRadiologic TechnologistMammography95802COLORADOX
62471S1302XRadiologic TechnologistSonography95802COLORADOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
166080240MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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